Individual
DR. CLYDE LELAND COREY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
919 GRAHAM DR, TOMBALL, TX 77375-6408
(281) 516-6530
(281) 290-9824
Mailing address
919 GRAHAM DR, TOMBALL, TX 77375-6408
(281) 516-6530
(281) 290-9824
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
208800000-UROLOGY
TX
208800000X
Urology Physician
Primary
H4250
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
096750701
—
TX
Enumeration date
01/05/2006
Last updated
02/13/2012
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